Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis

Sepsis is a critical condition characterized by a systemic inflammatory response to infection, often leading to severe vascular dysfunction and high mortality. One of the hallmarks of vascular dysfunction in sepsis is increased vascular permeability and the loss of pericytes, which are essential for...

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Main Authors: Yiyan Liu, Daiqin Bao, Han She, Zisen Zhang, Shifeng Shao, Zhengbin Wu, Yue Wu, Qinghui Li, Li Wang, Tao Li, Liangming Liu
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Redox Biology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213231724003318
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author Yiyan Liu
Daiqin Bao
Han She
Zisen Zhang
Shifeng Shao
Zhengbin Wu
Yue Wu
Qinghui Li
Li Wang
Tao Li
Liangming Liu
author_facet Yiyan Liu
Daiqin Bao
Han She
Zisen Zhang
Shifeng Shao
Zhengbin Wu
Yue Wu
Qinghui Li
Li Wang
Tao Li
Liangming Liu
author_sort Yiyan Liu
collection DOAJ
description Sepsis is a critical condition characterized by a systemic inflammatory response to infection, often leading to severe vascular dysfunction and high mortality. One of the hallmarks of vascular dysfunction in sepsis is increased vascular permeability and the loss of pericytes, which are essential for maintaining vascular integrity. Despite the significance of pericyte loss in sepsis, the primary type of cell death responsible and the underlying molecular mechanisms remain incompletely understood. This study aims to elucidate these mechanisms by focusing on ferroptosis, a form of programmed cell death, and its regulation through the Hippo/ACSL4 axis. Our research confirmed significant pericyte loss in patients with sepsis. Through advanced single-cell analysis and proteomics, ferroptosis was identified as a key differentiating cell death type between sepsis and sham samples. Further metabolomics analysis revealed that Acyl-CoA Synthetase Long-Chain Family Member 4 (ACSL4) plays a pivotal role in the ferroptosis of pericytes during sepsis. In vitro experiments demonstrated that downregulation of ACSL4 effectively reduced lipopolysaccharide (LPS)-induced lipid peroxidation, restored pericyte viability, and improved endothelial permeability. In vivo studies with pericyte-specific ACSL4 knockout mice showed a marked decrease in pericyte loss and enhanced vascular barrier function following sepsis induction. To translate these findings into potential therapeutic strategies, we developed pericyte-targeting liposomes encapsulating ACSL4 shRNA adenovirus. These liposomes successfully restored pulmonary vascular barrier function and significantly reduced pericyte loss in septic conditions. The results of this study underscore the crucial role of ACSL4 in mediating ferroptosis in pericytes and highlight the therapeutic potential of targeting ACSL4 to mitigate vascular dysfunction in sepsis.
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spelling doaj-art-f2acccd5413844208e2e6084ef6f83412025-08-20T02:30:51ZengElsevierRedox Biology2213-23172024-12-017810335310.1016/j.redox.2024.103353Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsisYiyan Liu0Daiqin Bao1Han She2Zisen Zhang3Shifeng Shao4Zhengbin Wu5Yue Wu6Qinghui Li7Li Wang8Tao Li9Liangming Liu10Shock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaDepartment of Anesthesiology, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaDepartment of Anesthesiology, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaShock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaDepartment of Critical Care Medicine, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaDepartment of Critical Care Medicine, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaShock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaShock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, ChinaShock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, China; Corresponding author. Shock and Transfusion Department, Daping Hospital, Army Medical University, No.10, Changjiang Road, Yuzhong District, Chongqing, 400042, China.Shock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, China; Corresponding author. Shock and Transfusion Department, Daping Hospital, Army Medical University, No.10, Changjiang Road, Yuzhong District, Chongqing, 400042, China.Shock and Transfusion Department, Daping Hospital, Army Medical University, Chongqing, 400042, China; Corresponding author. Shock and Transfusion Department, Daping Hospital, Army Medical University, No.10, Changjiang Road, Yuzhong District, Chongqing, 400042, China.Sepsis is a critical condition characterized by a systemic inflammatory response to infection, often leading to severe vascular dysfunction and high mortality. One of the hallmarks of vascular dysfunction in sepsis is increased vascular permeability and the loss of pericytes, which are essential for maintaining vascular integrity. Despite the significance of pericyte loss in sepsis, the primary type of cell death responsible and the underlying molecular mechanisms remain incompletely understood. This study aims to elucidate these mechanisms by focusing on ferroptosis, a form of programmed cell death, and its regulation through the Hippo/ACSL4 axis. Our research confirmed significant pericyte loss in patients with sepsis. Through advanced single-cell analysis and proteomics, ferroptosis was identified as a key differentiating cell death type between sepsis and sham samples. Further metabolomics analysis revealed that Acyl-CoA Synthetase Long-Chain Family Member 4 (ACSL4) plays a pivotal role in the ferroptosis of pericytes during sepsis. In vitro experiments demonstrated that downregulation of ACSL4 effectively reduced lipopolysaccharide (LPS)-induced lipid peroxidation, restored pericyte viability, and improved endothelial permeability. In vivo studies with pericyte-specific ACSL4 knockout mice showed a marked decrease in pericyte loss and enhanced vascular barrier function following sepsis induction. To translate these findings into potential therapeutic strategies, we developed pericyte-targeting liposomes encapsulating ACSL4 shRNA adenovirus. These liposomes successfully restored pulmonary vascular barrier function and significantly reduced pericyte loss in septic conditions. The results of this study underscore the crucial role of ACSL4 in mediating ferroptosis in pericytes and highlight the therapeutic potential of targeting ACSL4 to mitigate vascular dysfunction in sepsis.http://www.sciencedirect.com/science/article/pii/S2213231724003318SepsisFerroptosisPericyte lossACSL4Vascular permeabilityHippo pathway
spellingShingle Yiyan Liu
Daiqin Bao
Han She
Zisen Zhang
Shifeng Shao
Zhengbin Wu
Yue Wu
Qinghui Li
Li Wang
Tao Li
Liangming Liu
Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis
Redox Biology
Sepsis
Ferroptosis
Pericyte loss
ACSL4
Vascular permeability
Hippo pathway
title Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis
title_full Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis
title_fullStr Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis
title_full_unstemmed Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis
title_short Role of Hippo/ACSL4 axis in ferroptosis-induced pericyte loss and vascular dysfunction in sepsis
title_sort role of hippo acsl4 axis in ferroptosis induced pericyte loss and vascular dysfunction in sepsis
topic Sepsis
Ferroptosis
Pericyte loss
ACSL4
Vascular permeability
Hippo pathway
url http://www.sciencedirect.com/science/article/pii/S2213231724003318
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